Toothache - causes and treatment at a glance

Immediate help for toothache

What can I do about toothache and how can I alleviate it??

Toothache usually occurs when you need it the least: just before a vacation, at the weekend or during an exam. This is of course a coincidence. The symptoms do not always come from the teeth.

The roots of the teeth in the upper jaw have a connection to the maxillary sinuses, so that sensitive people can feel a feeling of pressure on their teeth even with a slight cold. If the cold, runny nose, ear infections and similar diseases that manifest in the head area are cured, the pain also disappears. For more information on how to counter toothache, read the menu item toothache treatment.

If you need detailed information about drug treatment with pain relievers, you can find them under tablets for toothache.

Cold pads or ice packs help with swelling

Toothache based on inflammation often causes swelling around the mouth. The pain is throbbing and the area feels hot. This toothache can be relieved by cooling. Cold pads or ice packs that are placed on the swollen cheek area from the outside are suitable for this. To avoid freezing the skin, the bag is wrapped in a cotton cloth.

Toothache has the property of intensifying when moving, but does not subside even when at rest. Sports should be restricted or discontinued until treatment by the dentist is possible. Smokers should reduce smoking because the toxins also irritate the exposed nerves.

What helps with toothache?

Painkillers – use as sparingly as possible
Pain relievers (paracetamol, ibuprofen) should only be used sparingly if the pain actually becomes unbearable and are not a permanent solution. Under no circumstances should painkillers be taken with alcohol.

Conditioners and chamomile solutions

Home remedies – cloves

Cloves, which are placed in a larger caries hole, for example, are an old household remedy.

Oils and antibacterial agents

The essential oils and antibacterial agents reduce the sensation of pain and have an antiseptic effect.

See a dentist

Toothache is one of the pains in which people who are otherwise afraid of the dentist voluntarily visit the dentist. The dentist will quickly determine the cause of the pain and take appropriate treatment measures. Teeth damaged by caries are cared for by removing and cleaning destroyed and attacked tooth substance and closing the cavities with fillings or inlays.

The doctor often places drainage directly in the nerve canal to calm the tooth and let the pain subside. Wound pain after tooth surgery or pulled teeth subsides with progressive healing. Care must be taken here to ensure careful hygiene so that the wound does not catch fire. Taking into account other diseases, the dentist decides on the use and dosage of suitable pain relievers.

Cold and sweet toothache

Exposed tooth necks or beginning caries are possible causes

Cold food and cold air cause painful tooth pulling in some people. The cause of this are exposed tooth necks, such as those caused by gingivitis and tartar formation. The cold stimuli are passed on to the nerve network of the tooth particularly quickly because the protective enamel layer is missing. Tooth enamel is only on the tooth crown. Even the finest fissure cracks on the molars can provide access to the nerves that "let through" pain-triggering stimuli such as cold or sugar.

Pain when touching heat? See a dentist!

The pain in the teeth when eating foods with a high sugar content has the same intensity. At the latest when the teeth hurt even when they come into contact with heat, a visit to the dentist is essential to prevent further damage and to preserve the tooth or teeth. In addition to exposed tooth necks, incipient tooth decay is the main cause of pulling pain in the cold, warmth and sweets.

Toothache when chewing

Common reason: damaged teeth

Chewing discomfort always indicates one or more damaged teeth. If the toothache does not subside while chewing despite supposedly healthy teeth, a disease of the tooth support system can also be the reason. This can be caused by abscesses, which also cause severe swelling. If periodontitis is not adequately treated, teeth loosen and biting becomes difficult.

For fear of losing the incisors, only the side is bitten off. This can lead to an overload of the jaw muscles. In addition, loose teeth exert pressure on the affected jawbone due to the leverage when speaking (through the tongue) and when eating. Bacteria and germs, which are present to an increased extent in the case of periodontitis, cause inflammation of the periosteum, which causes additional pain.

Nocturnal teeth grinding

Gritting your teeth at night can also cause chewing pain. This not only results in increased tooth abrasion, which permanently damages the teeth, but also continuous pressure on the tooth holder. In addition, the jaw muscles are in constant "alert". Dental splints help to prevent gnashing of teeth at night.

What are toothache?

Toothache is a constant sensation of pain and is usually caused by a tooth that is sick or damaged by caries. Sometimes diseases in the upper or lower jaw are responsible, such as inflammation of the paranasal sinuses and maxillary sinuses.

In rare cases, toothache even indicates an onset of a heart attack. The pain is felt differently subjectively, is mostly pulling, throbbing and often radiates throughout the jaw area. They can be very excruciating and can significantly affect your general health. The pain receptors in the brain seem to be connected to the teeth.

Toothache should only be treated for a short time. The causes must be clarified promptly by an experienced dentist.

Structure of the tooth

Not the tooth hurts

To understand how toothache develops, the structure of a tooth needs to be clarified. The tooth itself does not hurt, it consists of protective, very hard tooth enamel and a somewhat softer dentin. Only the nerves and blood vessels (pulp), which supply the tooth via the tooth root and keep it alive, are sensitive to pain.

Similar to hair or antlers of an animal, dentin consists of horny substance. Tooth enamel is one of the hardest substances in the body and is significantly harder and more resistant than bone.

Healthy childhood nutrition strengthens tooth enamel

Fluorine-containing foods, calcium and healthy nutrition help children to strengthen their enamel from the inside out. The enamel forms with the tooth formation of the permanent teeth and should last a lifetime. However, bacteria and their acidic secretions can attack and soften the protective layer.

Tooth enamel (unlike bone substance) is unable to regenerate. Once the protective coat of the tooth is damaged, bacteria have an easy time “eating up” the softer tooth substance and creating a hole. This process is commonly known as caries or caries eating.

Where do toothache come from?

Only when the hole in the tooth touches the tips of the nerves does a severe toothache develop. These occur suddenly and unexpectedly. The pulp retreats and desolates at the top. The pain briefly subsides, but the more the caries eats into the tooth and the more often the pulp is injured (pulpitis), the more it comes back. If bacteria also enter the nerve canal, inflammation often occurs, which extends deep into the root canal and can form an abscess (apical ostitis)..

A so-called suppurated tooth can already be seen from the outside: the cheek swells. Now the tooth can usually not be saved. The inflammation must be stopped and the nerve must be treated with suitable medication or even killed in order to at least keep the tooth as a framework or anchor. In the worst case, the tooth has to be pulled completely to prevent damage to the jaw bone.

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